CMS-1500 + UB-04
One program for CMS-1500 professional claims and UB-04/CMS-1450 institutional claims.
$99
1-year license · Install on up to 2 computers
Eight focused Windows products for paper and electronic medical claims, federal workers’ compensation, dental, home health, immigration medical exams, DOT physicals, and occupational medical forms.
One program for CMS-1500 professional claims and UB-04/CMS-1450 institutional claims.
$99
1-year license · Install on up to 2 computers
Create ANSI ASC X12N 837P Version 5010A1 professional electronic claim files.
$299
Install on up to 2 computers
One federal workers' compensation program for professional and institutional OWCP claim forms.
$99
One-time · Install on 1 computer
Prepare, save, retrieve, and print the current 2024 ADA Dental Claim Form.
$99
One-time · Install on 1 computer
Prepare, save, retrieve, and print Home Health Certification and Plan of Care records.
$99
One-time · Install on 1 computer
Prepare, save, retrieve, review, and print the USCIS Report of Immigration Medical Examination and Vaccination Record.
$99
One-time · Install on 1 computer
Prepare, save, retrieve, and print MCSA-5875 Medical Examination Report and MCSA-5876 Medical Examiner’s Certificate records.
$99
One-time · Install on 1 computer
21 DOT/FMCSA, OSHA, FMLA, OWCP/FECA, and occupational clinic forms in one Windows program.
$99
One-time · Install on 1 computer
Choose CMS-1500 + UB-04 Form Software for paper professional and institutional claims. Choose CMS-1500 Electronic Claim Software (837P) when you need to create the standard 837P professional electronic claim file.
Choose OWCP-1500 + OWCP-04 Form Software. It combines the professional and institutional OWCP claim forms.
Choose ADA Dental Claim Software for dental claims, CMS-485 for home health documentation, I-693 for immigration medical exams, DOT Medical Exam Software for commercial driver medical certification forms, or Occupational Medical Forms Software for 21 DOT/FMCSA, OSHA, FMLA, OWCP/FECA, and clinic forms.